# SIMMESPORT OPCO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEGACY LC HOLDINGS LLC
- **Other names:** LEGACY NURSING AND REHABILITATION OF SIMMESPORT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104745785
- **Legal business name:** LEGACY LC HOLDINGS LLC
- **Authorized official:** MR. VICTOR D. GUM (MANAGER)
- **Authorized official phone:** (225) 800-4954

## Contact information

- **Practice address:** 16232 HIGHWAY 1, SIMMESPORT, LA 71369-2156
- **Practice address phone:** (318) 941-2294
- **Mailing address:** 2431 S ACADIAN THRUWAY STE 100, BATON ROUGE, LA 70808-2300
- **Mailing address phone:** (225) 800-4954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2026
- **Last updated:** 07/15/2026